Active Projects

An evidence based investment appraisal process to be used within business case development

Project Facts

Start date: June 2011
End date: November 2013
Investigators Professor Andrew Price
Staff Employed Dr Grant Mills, Sameedha Mahadkar, Masoud Malekzadeh, Efthimia Pantzartzis
Status Completed

Project Partners

• Department of Health- Estates and Facilities
• Integra,
• SIMUL8 Corporation,
• The Bartlett, University College London
• European Investment Bank. European Centre for Heath Assets and Architecture.
• European Health Property Network (EuHPN)
• Nightingale Associates
• Great Ormond Street Hospital

Project Partners

Department of Civil and Building Engineering
Loughborough University
Ashby Road
LE11 3TU
T: +44 (0) 15 0922 2627

Levels of safety critical NHS estates repairs and maintenance backlog have been steadily rising for several years. The accumulating backlog cost is a challenge for all NHS organisations, especially those moving towards Foundation Trust status, which need to reduce backlog maintenance in ways that are aligned with their financial, operational and clinical strategies. As part of the development of governance and assurance in the new NHS landscape for estates and facilities, there was a need to quantify and eliminate critical backlog. Loughborough University Enterprise Limited was commissioned to undertake an independent review of backlog maintenance and the definition of “Critical Infrastructure Risk” (CIR).

This project investigated and established links between research evidence and investment appraisal, feeding into the HaCIRIC project An evidence-based and model-supported approach to Strategic Asset Management, by contributing to the development of a prototype of DIVAPAM (Dynamic Investment Value and Prioritisation Appraisal Mechanism). Engagement with the DH provided led to together definition of issues around backlog maintenance, emphasising current infrastructure conditions against potential long-term issues that would put at risk patient and staff safety and estates performance over the future.